COVID-19 Screening Form and Online Form
Dr. Sara Shiewitz Dentistry offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Electronic Form Instructions
- Click on the link below to access the form in your browser
- Fill out the form and sign it.
- Submit the form and it will be sent to the office of Dr. Sara Shiewitz Dentistry.
Printable Form Instructions
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Bring them with you to your appointment.
COVID-19 Pandemic Dental Treatment Consent Form
This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!